| NPI | 1487080537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J SHEEHAN Managing Member 706-364-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |